<?php
defined('SYSPATH') OR die('No direct access allowed.');
/**
 * register.php
 * @author ranuandra
 *
 * 8 Mar 2012 13:42:06
 *
 * 
 */
?>
                <div class="form-container">
                    <form action="" method="post">
                    <p class="legend"><strong>Note:</strong> Required fields are marked with an asterisk (<em>*</em>)</p>
                    <fieldset>
                        <div><label>Nama Lengkap</label><input type="text" name="nama_lengkap" /></div>
                        <div><label>Telp</label><input type="text" name="nama_lengkap" /></div>
                        <div><label>Alamat Email</label><input type="text" name="nama_lengkap" /></div>
                        <div><label>Jenis Kelamin</label>
                        <input type="radio" name="sex" />Laki-laki
                        <input type="radio" name="sex" />Wanita
                        </div>
                    </fieldset>
                    </form>
                </div>